体医融合项目的风险治理:一种新的面向与选择——从非典到新型冠状肺炎谈起

体医融合和非医疗健康干预可以有效促进疾病管理与健康服务模式的形成,但体医融合项目治理初期仍然受到理念融合、体医融资、部门协同等因素的影响。该文以病毒、人体免疫与体育运动的体医融合关系视角,依据共生理论对体医融合项目的风险治理逻辑进行了阐述。采用文献资料法、数理统计法等对体医融合项目风险治理的相关个案进行了整理,并基于NVIVO11.0质性分析软件对体医融合个案进行识别分析,构建了体医融合项目风险治理的影响因素评价指标体系,包括13个一级指标30个二级指标。最后提出了体医融合项目风险治理的路径选择(1)将体医融合理念提升至构建公共卫生保障体系战略的高度;(2)落地变现体医融合项目购买方案;(3)打造政府精准购买体医融合项目区块链。     

Does modality matter? A latent profile and transition analysis of sedentary behaviours among school-aged youth: The UP&DOWN study

ABSTRACT

The aims of this study were to identify profiles of sedentary behaviour (SB) patterns, based on leisure-time self-reported SB modalities (screen, educative, social, and relaxing) and to evaluate changes in these profiles over 2 years among Spanish youth aged 8–18 years. Latent profile analysis (LPA), a data-driven analytic approach, was used to identify groups of boys and girls (n = 1553; 48% girls; mean±SD age: 12.56 ± 2.49 y) with distinct SB profiles using the SB modalities (time/d) as input variables. Latent transition analysis, an extension of LPA that uses longitudinal data, was used to analyse 2-year changes in these profiles. At baseline, four and three SB profiles were found among boys (labelled: screen, educative, social, and relaxing) and girls (labelled: screen/social, educative, and relaxing), respectively. Overall, more girls (range: 48%-67%) had the same profile over time, than boys (40%-52%). Participants with a screen or relaxing SB profile at baseline were more likely to have an educative profile after 2 years. Youth with a social and an educative SB profile at baseline were more likely to transition to profiles characterized by higher screen and social SB, respectively. Using a novel and person-centered approach, this study identified gender-specific SB profiles that were moderately stable over time.     

Syllable-based reading improvement: Effects on word reading and reading comprehension in Grade 2

This study examined the effects of a syllable-based reading intervention for German second graders who demonstrated difficulties in the recognition of written words. The intervention focused on fostering word reading via syllable segmentation. The materials consisted of the 500 most frequent syllables typically read by 6- to 8-year-old children. The aims were to practice phonological recoding, consolidate orthographic representations of syllables, and routinize the access to these representations. Compared to children randomly assigned to a wait-list group, poor readers in the treatment condition showed significant improvements in standardized measures of phonological recoding, direct word recognition, and text-based reading comprehension after the 24-session intervention. Poor readers in the treatment condition also showed greater improvements in development of word recognition compared to children with efficient word recognition skills. The results provide evidence that a syllable-based reading intervention is a promising approach to increase struggling readers’ word recognition skills, which in turn will improve their reading comprehension.     

‘I would say nine times out of 10 they come to the LSA rather than the teacher’. The role of teaching assistants in supporting children's mental health

This research explored how seven primary school teaching assistants (TAs) experienced their role in supporting children's mental health. Interviews were analysed using Interpretative Phenomenological Analysis (IPA). The participants believed that they supported children's mental health and particularly referenced the close relationships that they formed with children. Throughout their accounts of supporting children, the TAs referenced helpful factors (e.g. support from other staff) and challenges (e.g. hierarchy) within the school system. Supporting children’s mental health was an emotional experience for the TAs; they discussed the rewarding element, however, the topic also elicited fear. The findings provide several implications for school staff and external professionals about how TAs can be supported in their role. These include involving TAs in training opportunities, providing TAs with supervision, considering communication systems in schools, and introducing a mental health policy.     

面向幼儿发展的表现性评价实践研究

本研究采用表现性评价,对x幼儿园大班一个班级39名幼儿进行为期一年的发展性评价,在真实情境中对幼儿的发展状况作出连续性评价,获悉幼儿不同阶段的发展状况,同时对评价过程进行总结和反思。     

Comparing cumulative index and factor analytic approaches to measuring maltreatment in the National Longitudinal Study of Adolescent to Adult Health

Child maltreatment is a complex and multifaceted construct in need of advanced statistical techniques to improve its measurement. The current study compared the predictive utility of a cumulative index to a factor analytic approach for constructing a measure of maltreatment. Data were from Waves III and IV of the National Longitudinal Study of Adolescent to Adult Health (Wave III: n = 14,800; Wave IV: n = 12,288). As adults, participants retrospectively reported on their childhood experiences of physical abuse, sexual abuse, emotional abuse, physical neglect, supervisory neglect, and social services investigations. Both the cumulative index and a two-factor solution showed evidence of convergent validity, predicting lifetime incidence of homelessness, being paid for sex, and various measures of running away or living apart from biological parents, and prospectively predicting depression, substance use, and criminal behavior. The latent variables, derived from a factor analytic approach, had greater explanatory power for many outcomes compared to the cumulative index, even when controlling for sociodemographic variables. Results suggest that factor analysis is a better methodology than a cumulative index for measuring maltreatment in large datasets when explanatory power for external outcomes is of greatest concern.     

幼儿乳酸阈值及无氧阈心率的初步研究

对33名幼儿乳酸阈及其心率值进行测定,结果显示:3～5岁幼儿AT时血乳酸水平显著低于成人及青少年;幼儿亚极量强度运动后乳酸峰值大多出现在负荷后1min,反映了幼儿机体代谢的特异性.此实验结果可为幼儿有关生理机能和能量代谢的研究提供参数,所测得的乳酸阈心率值将为幼儿健身、减肥、增高等运动处方中运动强度控制提供科学依据.     

学校体育的文化视野--课程设计的人学理念

学校体育课程的价值在于建构体育文化, 从文化视野下重新审视体育课程理念,可以使我们正确认识体育课程特征、目标,使体育课程更符合学生身心和谐发展的需要,体现以人为本,凸现时代精神,深化学校体育课程改革.     

2002-2003年度中国男子篮球甲级联赛"三人制"裁判员临场情况的调查分析

通过设计调查表对2002-2003年度中国男子篮球甲级联赛中三人制裁判员的临场情 况进行了统计分析。结果表明,裁判员在合理分配体能、判罚尺度与角度、三人协同配合、心理调 节等方面还存在着不尽合理的地方。建议,裁判员应加强三人制裁判法和规则的钻研学习,加强 体能锻炼,加强临场心理素质的培养,不断积累比赛临场经验,以促进和维护CBA的健康发展。     

浙江省湖州市3～6岁幼儿体质现状及发展规律的研究

对湖州市3～6岁幼儿体质进行分析研究的结果表明:湖州市3～6岁幼儿体质状况优良,总体水平好于全国汉族水平,但体质发展趋势随年龄而下降;部分指标低于全国汉族水平;不良的饮食习惯、疾病和体育锻炼缺乏是制约湖州市3～6岁幼儿生长发育的主要因素.